Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1396744884 Deactivated / Inactive NPI Male Practitioner

Dr. Tiburcio Paz Alberto , MD

General Practice • Carson, CA

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Tiburcio Alberto has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 18, 2005
NPI Deactivation Date November 15, 2024
Total Practice Duration ~19 Years of Practice (2005 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Tiburcio Alberto, MD was a registered General Practice practicing in Carson, CA. Throughout an active medical career spanning 19 years, Dr. Alberto provided care at the practice location at 20930 BONITA ST until profile deactivation on 2024-11-15.

Practice Location & Contact Primary Location

Practice Address

20930 Bonita St
Suite W

Carson, CA 907463683

Telephone 3103247765
Fax 3103244522
Associated Practice Facility / Clinic
🏢 Pavillion Healthcare Services Facility NPI 1124163100

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Carson, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 31.1 Yrs
Regional Practice Density
5 Specialists

Practicing in Carson, CA (2300 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License CA A-25336

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Martin Okon

Counselor - Addiction (Substance Use Disorder)

NPI 1063744316
Dr. Anthony Duncan , DDS

Dentist - General Practice

NPI 1215004510

Doctor of Dental Surgery

Cappie Baker

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1316254659
Sylvernus Ebiriekwe

Counselor - Addiction (Substance Use Disorder)

NPI 1609108950
Dalia Demara , HIGH SCHOOL DIPLOMA

Counselor - Addiction (Substance Use Disorder)

NPI 1639354400

HIGHSCHOOLDIPLOMA

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated November 15, 2024

Record deactivated on November 15, 2024

NPI Profile Active July 08, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2010

Registered at 20930 BONITA ST, SUITE W, CARSON, CA 907463683 (Tel: 3103247765)

📍
Updated Business Mailing Address July 08, 2010

Registered at PO BOX 11123, CARSON, CA 907491123 (Tel: 3103247765)

👤
Provider Name / Credentials Updated July 08, 2010

Recorded as TIBURCIO ALBERTO, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2010

General Practice (License #A-25336 in CA)

🟢
Initial NPI Registration & Enumeration July 18, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Tiburcio Alberto. Be the first to share your experience!

Sign in to leave a review for Dr. Tiburcio Alberto

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1396744884
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 18, 2005
Last Update: July 08, 2010
Deactivation Date: November 15, 2024

Mailing Address

Po Box 11123

Carson, CA 907491123

Phone: 3103247765

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.